Doctor Name: | SARA J SOLES |
NPI Number: | 1255684734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | SP012251 |
Business Practice Address: | 137 Sandy Brae Dr Canonsburg, PA - 153174960 |
Business Phone Number: | 4129158253 |
Business Fax Number: | |
Mailing Address: | 137 Sandy Brae Dr, CANONSBURG |
State: | PA |
Postal Code: | 153174960 |
Phone Number: | 4129158253 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2012 |
NPI Last Update Date: | 10/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP012251 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |